OTC Plus is available on PriorityMedicare® Vintage plans.
Over-the-counter health purchases can add up over time, and we understand the importance of fresh and healthy food for a healthy you.
As a member of PriorityMedicare Vintage you have access to a quarterly allowance to use on over-the-counter (OTC) items and home and bathroom modifications and safety devices. Eligible members can use their allowance to purchase healthy food and produce. Eligibility is based on your chronic condition and the level of your need.
You’ll receive a Priority Health Medicare OTC Plus card loaded with an allowance you can use on things like aspirin, cold medicine, compression socks, and if eligible, healthy food and produce. Your OTC Plus card will come in the mail and will be automatically reloaded.
- There are several convenient ways to buy health items: shop in-store at Meijer, Costco, Walmart, Walgreens and more; or order OTC items online at www.priorityhealth.com/shopOTC; or purchase by phone.
- Your card will be re-loaded each quarter and your balance will not roll over and funds expire at the end of each calendar month or if quarterly, on March 31, June 30, September 30 and December 31.
- Chronic alcohol and other drug dependence
- Autoimmune disorders limited to: Polyarteritis nodosa, Polymyalgia rheumatica, Polymyositis, Dermatomyositis, Rheumatoid arthritis, Systemic lupus erythematosus, and sclerdoma
- Cancer
- Cardiovascular disorders limited to: Cardiac arrhythmias, Coronary artery disease, Peripheral vascular disease
- Chronic gastrointestinal disease: chronic liver disease, non-alcoholic fatty liver disease (NAFLD), Hepatitis B, Hepatitis C, Pancreatitis, Irritable bowel syndrome, inflammatory bowel disease
- Chronic kidney disease (CKD): CKD requiring dialysis/End-stage renal disease (ESRD) (SDRD), CKD not requiring dialysis
- Dementia
- Diabetes mellitus, pre-diabetes (fasting glucose: 100-125 mg/dl or Hgb A1C: 5.7-6.4
- Post-organ transplantation care
- Severe hematologic disorders limited to: Aplastic anemia, Hemophilia, Immune thrombocytopenic purpura, Myelodysplatic syndrome, Sickle-cell disease (excluding sickle-cell trait), and Chronic venous thromboembolic disorder
- HIV/AIDS
- Conditions that may cause similar function challenges and require similar services: spinal cord injury, paralysis, limb loss, stroke, arthritis, chronic conditions that impair vision, hearing (deafness), taste, touch and smell, conditions that require continued therapy, services in order for individuals to maintain or retain functioning
- Chronic lung disorders limited to: Asthma, Chronic bronchitis, Emphysema, Pulmonary fibrosis, and Pulmonary hypertension
- Chronic and disabling mental health conditions limited to: Bipolar disorders, Major depressive disorders, Paranoid disorder, Schizophrenia, and Schizoaffective disorder, post-traumatic stress disorder (PTSD), eating disorders and anxiety disorders
- Neurologic disorders limited to: Amyotrophic lateral sclerosis (ALS), cerebral palsy, Epilepsy, Extensive paralysis (i.e., hemiplegia, quadriplegia, paraplegia, monoplegia), Huntington’s disease, Multiple sclerosis, Parkinson’s disease, Polyneuropathy, Spinal stenosis, and Stroke-related neurologic deficit, chronic fatigue syndrome, spinal cord injuries, traumatic brain injury
- Stroke
- Overweight, obesity and metabolic syndrome
- Conditions that may cause cognitive impairment: Alzheimer’s disease, intellectual and developmental disabilities, traumatic brain injury, disabling mental illness associated with cognitive impairment, mild cognitive impairment.
- Chronic Hypertension
- Osteoporosis
- Chronic back pain
Benefit mentioned is part of a special supplemental benefit for chronically ill members. This is not a complete list of qualifying conditions. Even if you have a qualifying condition, you will not necessarily qualify to receive the benefit because coverage of the item or service depends on if you are chronically ill as defined by CMS and meet all applicable eligibility requirements. To see if you qualify, contact our Customer Care team by calling 888.389.6648 (TTY 711). From Oct. 1–Mar. 31, we’re available seven days a week from 8 a.m.–8 p.m. ET. From Apr. 1–Sept. 30, we’re available Mon.–Fri. from 8 a.m.–8 p.m. and Sat. 8 a.m.–noon ET.